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CPT 25607: Open Repair of Distal Radius Fracture with Internal Fixation
CPT code 25607 denotes open reduction and internal fixation of a distal radius fracture. This operative code is used for definitive surgical stabilization of radial fractures that extend beyond the wrist joint or involve separation of the radius from the joint surface. Nationally, the code is important for surgical trauma care, orthopedic service line management, and facility billing for upper-extremity fracture repairs. Key payers typically involved in coverage and reimbursement discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find an overview of clinical context for using CPT code 25607, typical sites of service, and the procedural intent of internal fixation to restore alignment and function. The publication summarizes payer coverage considerations and common claim components, outlines relevant benchmarks for utilization and reimbursement, and highlights policy or coding clarifications that affect billing validity. Content is intended to support billing professionals, orthopedic clinicians, and revenue leaders in understanding how this code is applied in practice and what operational factors commonly influence claims and payment.
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Billing Code Overview
CPT code 25607 describes the surgical open repair of a fracture of the distal radius (the larger bone of the forearm) beyond the wrist joint or a separation of the distal radius from the joint, using internal fixation such as wires, screws, or pins. This procedure involves making an incision to access the fracture site, anatomically reducing the fracture, and stabilizing the radius with internal hardware to restore alignment and permit healing.
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Service type: Surgical fracture repair with internal fixation (open reduction and internal fixation of distal radial fracture).
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Typical site of service: Hospital operating room or ambulatory surgery center, depending on patient stability and complexity of the fracture.